NPI | 1437899499 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 002591) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: AZ 2591) |
Enumeration Date | 2022-03-29 |
Last Update Date | 2025-03-04 |